Meaningful Use

Medicare and Medicaid Electronic Health Records Incentives Program

Through the American Recovery and Reinvestment Act of 2009 (Recovery Act), the Centers for Medicare and Medicaid Services (CMS) is authorized to make incentive payments to Eligible Professionals (EPs) and Eligible Hospitals (EHs) demonstrating meaningful use of certified Medicare and Medicaid Electronic Health Records (EHR) technology.

The three main components of Meaningful Use include:

  1. The use of a certified EHR in a meaningful manner.
  2. The use of certified EHR technology for electronic exchange of health information to improve the quality and coordination of health and health care.
  3. The use of certified EHR technology to submit clinical, quality and other measures.

Simply put, "Meaningful Use" means providers need to show they are using certified EHR technology in specific ways that can be measured significantly in quality and in quantity. The Missouri Department of Health and Senior Services (DHSS) is the state Public Health Authority (PHA) and is capable of accepting HL7 messages for Meaningful Use for immunizations, syndromic surveillance, electronic laboratory reporting, and cancer registry reporting.

Beginning the Data Submission Process

information sheet

In order to register your intent for Meaningful Use data submission, complete the registration process below. After completing the registration of intent, DHSS will invite you to begin the onboarding process.

registration button

  • ShowMeVax registry available since June 2011
  • Available for EHs and EPs that administer immunizations
Electronic Laboratory Reporting (ELR)
  • Available for EHs
Syndromic Surveillance
  • Available for EHs and EPs that practice at urgent care clinics
Cancer Registry (Specialized Registry)
  • Under development
  • Available for EPs that directly treat cancer cases only

What are the Criteria for meeting Meaningful Use?

In order to receive incentive payments, EPs and EHs must comply with the criteria for Meaningful Use. Providers must be in active engagement with the applicable public health registries to meet the public health objective of Meaningful Use. Active engagement can be achieved by meeting one of the following criteria:


If an EH or EP does not qualify to report for a measure, they are eligible for an exclusion for that measure. The available exclusions are as follows:

EHs or EPs may be eligible for multiple exclusions based on the nature of their practice. To obtain exclusion documents, contact the Meaningful Use Coordinator at (573) 751-6127 or

Influenza Reporting

DHSS currently accepts influenza reporting in aggregate form on a weekly basis per 19.CSR.20.20-20. Weekly aggregate reporting is the preferred method for influenza reporting since the system currently used by DHSS cannot process individual results and convert them to the required aggregate format.

What role does DHSS play?

To accomplish the goals of Meaningful Use, DHSS works with each provider to confirm their submission of electronic data and that their data submissions meet the national standards. Any changes to the provider’s electronic file require DHSS to review the file to assure the changes have not impacted the quality of the data.


For questions related to the public health measures, contact the DHSS Meaningful Use Coordinator at
(573) 751-6127 or